Organization
INNOVATIVE MR IMAGING, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GOLDBERG (ADMINISTRATOR)
(516) 369-8272
Entity
Organization
Contact information
Practice address
5000 BROADWAY, NEW YORK, NY 10034-1602
(718) 815-2002
(718) 815-3003
Mailing address
PO BOX 30271, STATEN ISLAND, NY 10303-0271
(718) 815-2002
(718) 815-3003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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